Restricted accessResearch articleFirst published online 2018-3
Comparison of musculoskeletal pain distribution,quality of life and hopelessness level in mothers with disabled children in different ambulation levels
The aim of this study was to compare the musculoskeletal pain distribution, quality of life, and the hopelessness level in mothers with disabled children in different ambulation levels.
METHODS:
This study included a total of 177 mothers (mean age: 36.1 6.5 years) of children with disabilities. The mothers were divided into 3 different groups according to the ambulation level of their disabled children: Ambulatory children (Group 1), partially ambulatory children (Group 2) and non-ambulatory children (Group 3). Musculoskeletal pain distribution (body diagram) and pain intensity (The Visual Analogue Scale), four quality of life parameters (The Centers for Disease Control and Prevention Health-Related Quality of Life 4 Questionnaire) and hopelessness level (Beck Hopelessness Scale) were evaluated in all mothers.
RESULTS:
The results of our study showed that musculoskeletal pain was most common (79.1%) in the mothers of disabled children. The frequency and severity of back, shoulder and elbow pain in the mothers, number of activity limitation days and hopelessness level were found to increase significantly as the ambulation level in the child decreased ( 0.05).
CONCLUSIONS:
The risk of musculoskeletal pain, participation in daily life and hopelessness level in the mothers increased as the ambulation level of the disabled children decreased.
RainaPO’DonnellMRosenbaumP, et al. The health and well-being of caregivers of children with cerebral palsy. Pediatrics.2005; 115: 626-36.
2.
OnesKYilmazECetinkayaBCaglarN. Assessment of the quality of life of mothers of children with cerebral palsy (primary caregivers). Neurorehabil Neural Repair.2005; 19: 232-7.
3.
Malm-BuatsiEAstonCERyanJTaoYPalmerBWKroppBPKleinJWisniewskiABFrimbergD. Mental health and parenting characteristics of caregivers of children with spina bifida. J Pediatr Urol.2015 Apr; 11(2): 65e1-7.
4.
PalisanoRTiemanLBWalterDS, et al. Effect of environmental setting on mobility methods of children with cerebral palsy. Dev Med Child Neurol.2003; 45: 113-120.
5.
LawlorKMihaylovSWelshBJarvisSColverA. A qualitative study of the physical, social and attitudinal environments influencing the participation of children with cerebral palsy in northeast England. Pediatr Rehabil.2006; 9: 219-228.
6.
TongaEDügerT. Factors affecting low back pain in mothers who have disabled children. J Back Musculoskelet Rehabil.2008; 21: 219-26.
7.
BrehautJCKohenDERainaP, et al. The health of primary caregivers of children with cerebral palsy: how does it compare with that of other Canadian caregivers? Pediatrics.2004; 114: 182-91.
8.
KayaKUnsalDSOrduNK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil.2010; 32: 1666-72.
9.
TongHCHaigAJNelsonVSYamakawaKSKandalaGShinKY. Low back pain in adult female caregivers of children with physical disabilities. Arch Pediatr Adolesc Med.2003; 157: 1128-33.
10.
TerziRTanG. Musculoskeletal system pain and related factors in mothers of children with cerebral palsy. Agri.2016 Jan; 28(1): 18-24.
11.
GibsonBETeachmanGWrightVFehlingsDYoungNLMcKeeverP. Children’s and parents’ beliefs regarding the value of walking: rehabilitation implications for children with cerabral palsy. Child Care Health Dev.2012 Jan; 38(1): 61-9.
12.
GeereJLGonaJOmondiFOKifaluMKNewtonCRHartleyS. Caring for children with physical disability in Kenya: potential links between caregiving and carers’ physical health. Child Care Health Dev.2013; 39: 381-92.
13.
KavlakEAltuğFBükerNŞenolH. Musculosketeal system problems and quality of life of mothers of children with cerebral palsy with different levels of disability. J Back Musculoskelet Rehabil.2015; 28(4): 803-810.
14.
RentinckICKetelaarMJongmansMJGorterJW. Parents of children with cerebral palsy: a review of factors related to the process of adaptation. Child Care Health Dev.2007 Mar; 33(2): 161-9.
15.
PrudentaCOBarbosaMAPortoCC. Relationship between quality of life of mothers of children with cerebral palsy and the children’s motor functioning, after ten months of rehabilitation. Rev Lat Am Enfermagem.2010 Mar-Apr; 18(2): 149-55.
16.
Oliveira EdeFLimongiSC. Quality of life of parents/caregivers of children and adolescents with Down Syndrome. J Soc Bras Fonoaudiol.2011 Dec; 23(4): 321-7.
17.
DügerTYilmazOAkiEKayihanHKaradumanA. The environmental barriers of children with Muscular Dystrophies and its effect on mother’s low back pain. Disabil Rehabil.2003 Oct 21; 25(20): 1187-92.
18.
TongHCKandalaGHaigAJNelsonVSYamakawaKSShinKY. Physical functioning in female caregivers of children with physical disabilities compared with female caregivers of children with a chronic medical condition. Arch Pediatr Adolesc Med.2002; 156: 1138-42.
19.
ManuelJNaughtonMJBalkrishnanRPaterson SmithBKomanLA. Stress and adaptation in mothers of children with cerebral palsy. J Pediatr Psychol.2003; 28: 197-201.
20.
JordanJLindenMA. It’s like a problem that doesn’t exist: the emotional well-being of mothers caring for a child with brain injury. Brain Inj.2013; 27: 1063-72.
21.
ButtonSPiantaRCMarvinRS. Partner support and maternal stres in families raising young children with cerebral palsy. J Dev Phys Disabil.2001 Mar; 13(1): 61-81.
22.
BairdGMcConachieHScruttonD. Parents’ perceptions of disclousure of the diagnosis of cerebral palsy. Arch Dis Child.2000 Dec; 83(6): 475-80.
23.
ParkesJCaravaleBMarcelliMFrancoFColverA. Parenting stress and children with cerebral palsy: a European cross-sectional survey. Dev Med Child Neurol.2011 Sep; 53(9): 815-21.
24.
WiegnerSDondersJ. Predictors of parental distress after congenital disabilities. J Dev Behav Pediatr.2000 Aug; 21(4): 271-7.
25.
de MouraMCWutzkiHCVoosMCResendeMBReedUCHasueRH. Is functional dependence of Duchenne muscular dystrophy patients determinant of the quality of life and burden of their caregivers? Arq Neuropsiquiatr.2015; 73: 52-7.
26.
OgstonPLMackinstoshVHMyersMJ. Hope and worry of children with an autism spectrum disorder or Down Syndrome. Res Autism Spectr Disord.2011; 5: 1378-84.
27.
HeimanT. Parents of Children With Disabilities: Resilience, Coping, and Future Expectations. J Dev Phys Disabil.2002; 14(2): 159-171.
28.
MurphyNAChristianBCaplinDAYoungPC. The health of caregivers for children with disabilities: caregiver perspectives. Child Care Health Dev.2007; Mar; 33(2): 180-7.
29.
KausarSJevneRFSobseyD. Hope in Families of Children with Developmental Disabilities. J Dev Disabil.2003; 10: 300-307.
30.
SchindlMRForstnerCKernHHesseS. Treadmill training with partial body weight support in nonambulatory patients with cerebral palsy. Arch Phys Med Rehabil.2000 Mar; 81(3): 301-6.
31.
https://www.cdc.gov/hrqol/hrqol14_measure.htm.
32.
AslanUBCavlakUYagciNBaskanE. Reliability and validity of the Turkish version of the CDC Hrqol-4 scale in patients with chronic low back pain. Pak J Med Sci.2010; 26: 875-879.
33.
CavlakUYagciNBas AslanUEkiciG. A new tool measuring health-related quality of life (HRQOL): the effects of musculoskeletal pain in a group of older Turkish people. Arch Gerontol Geriatr.2009; 2: 298-303.
34.
SeberGDilbanNKaptanoğluCTekinD. Umutsuzluk ölçeği geçerlilik ve güvenirliği. Kriz Dergisi.1993; 1: 139-142.
35.
BeckATWeissmanALesterDTrexlerL. The measurement of pessimism: The hopelessness scale. J Consult Clin Psychol.1974; 42: 861-865.
36.
EkerLTüzünEH. An evaluation of quality of life of mothers of children with cerebral palsy. Disabil Rehabil.2004 Dec 2; 26(23): 1354-9.
37.
FıratSDilerRSAvcıASeydaoğluG. Comparison of psychopathology in the mothers of autistic and mentally retarded children. J Korean Med Sci.2002; 17: 679-85.
38.
RassafianiMKahjooghMAHosseiniASahafR. Time use in mothers of children with cerebral palsy: A comparison study hong kong. J Occup Ther.2012; 20(22): 70-74.
39.
WittWPRileyAWCoiroMJ. Childhood functional status, family stressors, and psychosocial adjustment among school-aged children with disabilities in the United States. Arch Pediatr Adolesc Med.2003 Jul; 157(7): 687-95.
40.
SawyerMGBittmanMLA GrecaAMCrettendenADBorojevicNRaghavendraPRussoR. Time demands of caring for children with cerebral palsy: what are the implications for maternal mental health? Dev Med Child Neurol.2011 Apr; 53(4): 338-43.
41.
YıldırımAYıldırımMS. Hopelessness of mothers who have children with Down syndrome. Genet Couns.2010; 21: 375-80.
